The Experience of Living with Diabetes for Low-income Canadians

      ABSTRACT

      OBJECTIVE

      To enhance understanding about how living on a low income affects patients' self-management of type 2 diabetes, from their perspective.

      METHOD

      A qualitative inquiry using semi-structured interviews was conducted to explore the experiences of low- income persons with type 2 diabetes. Participants were 60 patients from 4 community health centres in a large Canadian city.

      RESULTS

      An overarching theme and 3 sub-themes were generated, which describe participants' struggle to survive and manage their diabetes as best they can, given their circumstances.

      CONCLUSIONS

      Findings support the importance of providing patient-centred care, incorporating poverty as a clinical risk factor, assisting patients to access resources and advocacy to bring about policy changes needed to prevent and properly manage diabetes.

      RÉSUMÉ

      OBJECTIF

      Mieux comprendre, du point de vue du patient, comment le fait d'avoir un faible revenu nuit a l'autogestion du diabete de type 2.

      MÉTHODES

      Des entretiens qualitatifs semi-structurés ont été menes sur les experiences de personnes atteintes de diabeté de type 2 ayant un faible revenu. On a interrogé 60 patients de quatre centres de santé communautaire d'une grande ville canadienne.

      RESULTATS

      On a cerné un grand théme et trois sous-thémes décrivant la lutte des patients pour survivre et gérer le diabété du mieux qu'ils peuvent compte tenu de leur situation.

      CONCLUSIONS

      Les résultats démontrent qu'il est important d'offrir des soins axés sur le patient, d'ajouter la pauvreté aux facteurs de risque cliniques, d'aider les patients a accéder aux ressources et de défendre les intéréts des patients pour que soient adoptes les changements d'orientation néces- saires à la prévention et a la bonne gestion du diabéte.

      KEY WORDS

      MOTS CLES

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